OMB #2127—0646
Exp Date: August 31, 2011
NATIONAL ALCOHOL CRACKDOWN SCREENER
//ASK ALL//
INTRO
Hello, I’m calling on behalf of the U.S. Department of Transportation. This is not a sales call. We are conducting a national study of Americans’ driving habits and attitudes. The interview is voluntary and the information you provide us will be used for statistical purposes only. We will not collect any personal information that would allow anyone to identify you. This call may be monitored or recorded for quality assurance.
Please note that a federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0646. Public reporting for this collection of information is estimated to be approximately 10 minutes per response, including the time for reviewing instructions, completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590
//ASK ALL//
ISCELL
Is this a cellular telephone?
01 YES
02 NO
03 NOT A SAFE TIME //TERMINATE and SET UNSCHEDULED CALLBACK//
97 DON’T KNOW
99 REFUSED
//ASK IF ISCell=02, 97, 99//
NOCELL
Thank you very much, but we are only interviewing cell telephones at this time.
01 TERMINATE
// ASK all//
SAFETY
Are you currently driving or doing anything else that would make it unsafe for you to be on the phone?
01 YES //TERMINATE and SET UNSCHEDULED CALLBACK//
02 NO
97 DON’T KNOW //TERMINATE and SET UNSCHEDULED CALLBACK//
99 REFUSED //TERMINATE and SET UNSCHEDULED CALLBACK//
//ASK IF SAfety=01, 97, 99//
SAFETYT
Thank you very much, but we will call you back later.
01 TERMINATE
//ASK all//
S2C
Are you at least 18 years old?
01 YES
02 NO //TERMINATE and SET INELIGIBLE <18//
97 DON’T KNOW //TERMINATE and SET INELIGIBLE <18//
99 REFUSED //TERMINATE and SET INELIGIBLE <18//
//ask if S2c=02,97,99//
S2T
I am very sorry; I’m only interviewing people over 18. Thank you, goodbye.
01 TERMINATE
//ASK ALL//
S3
I’d like to confirm that you live in {RESTORE STATE FROM SAMPLE}?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
//ASK IF S3=02//
S3a
And what is the correct state in which you live?
01-50 LIST OF STATE ABBR.
97 DON’T KNOW
99 REFUSED
//ask all//
Q2
Do you drive a motor vehicle at least a few times a year?
01 YES
02 NO //TERMINATE and SET HH INELIGIBLE-NO DRIVERS//
97 DON’T KNOW //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
99 REFUSED //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
//ask all//
Q3
Even if you were not driving, have you had even a single beer, glass of wine or any other alcoholic beverage in the past year?
[IF NECESSARY: You do not have to be a regular drinker or person who drives after drinking.]
01 YES
02 NO //TERMINATE and SET HH INELIGIBLE-NO DRINKERS//
97 DON’T KNOW //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
99 REFUSED //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
//ASK All//
Q6
How often do you drive a motor vehicle? Would you say almost every day, a few days a week, a few days a month, or a few days a year?
01 Almost every day
02 Few days a week
03 Few days a month
04 Few days a year
05 NEVER //TERMINATE and SET HH INELIGIBLE-NO DRIVERS//
96 OTHER
97 DON’T KNOW
99 REFUSED
//ask if Q6=96//
Q6O
Please describe how often you drive a motor vehicle.
01 GAVE RESPONSE
97 DON’T KNOW
99 REFUSED
//ask if Q6O=01//
Q6Ot
Enter Response [text length=270].
//for all uncaught terms AND SCreens//
For cell phone studies, the unit is a person, not a household, so there is no passing of the phone or person selection.
The 02 TERMINATE option is for hang-ups/breakoffs/etc.
NATIONAL ALCOHOL CRACKDOWN SCREENER
//ASK ALL//
INTRO
Hello, I’m calling on behalf of the U.S. Department of Transportation. This is not a sales call. We are conducting a national study of Americans’ driving habits and attitudes. The interview is voluntary and the information you provide us will be used for statistical purposes only. We will not collect any personal information that would allow anyone to identify you. The interview takes about 10 minutes to complete. This call may be monitored or recorded for quality assurance.
Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current valid OMB control number. The OMB control number for this study is 2127-0646.
//ASK ALL//
ISCELL
Is this a cellular telephone?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
//ASK IF ISCell=01,97,99//
NOLL
Thank you very much, but we are only interviewing landline telephones and private residences.
01 TERMINATE
//ASK ALL//
S1
Is your landline telephone number for…?
01 Home use
02 Home and business use
03 Business use only
97 DON’T KNOW
99 REFUSED
//ask if S1=03//
S1b
I am very sorry; I’m trying to reach a residence. Thank you, goodbye.
01 TERMINATE
//ASK ALL//
S2
Are you a member of this household and at least 18 years old?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
//ASK If s2=02, 97, 99//
S2a
May I speak to a member of this household who is at least 18 years old?
01 COMING TO PHONE
02 NOT AVAILABLE //TERMINATE and SET UNSCHEDULED CALLBACK//
03 NO MEMBERS 18+ //TERMINATE and SET HH INELIGIBLE//
97 DON’T KNOW //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
99 REFUSED //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
//ask if S2a=03, 97, 99//
S2T
I am very sorry; I’m only interviewing people over 18. Thank you, goodbye.
01 TERMINATE
//ASK ALL//
S3
I’d like to confirm that you live in {RESTORE STATE FROM SAMPLE}?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
//ASK IF S3=02//
S3a
And what is the correct state in which you live?
01-50 LIST OF STATE ABBR.
97 DON’T KNOW
99 REFUSED
//ASK ALL//
Q1
Including you, how many persons age 18 and older are living in this household at least half the time, even if they are not at home right now?
00 NONE //TERMINATE and SET HH INELIGIBLE//
01-15 NUMBER OF PERSONS 18+ IN HH
16 16+ PERSONS 18+ IN HH
97 DON’T KNOW
99 REFUSED
//ask all//
Q2
//How many of these {RESPONSE TO Q1} persons age 18 and older/Do You// drive a motor vehicle at least a few times a year?
00 NONE //TERMINATE and SET HH INELIGIBLE-NO DRIVERS//
01 YES/ONE DRIVER
02-15 NUMBER OF DRIVERS
16 16+
97 DON’T KNOW //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
99 REFUSED //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
//ask all//
Q3
Even if //they were not driving, how many of these {RESPONSE TO Q2} drivers have/Even if you were not driving, have you// had even a single beer, glass of wine or any other alcoholic beverage in the past year?
[IF NECESSARY: They do not have to be regular drinkers or persons who drive after drinking./You do not have to be a regular drinker or person who drives after drinking.]
00 NONE //TERMINATE and SET HH INELIGIBLE-NO DRINKERS//
01 YES/ONE DRINKER
02-15 NUMBER OF DRINKERS
16 16+
97 DON’T KNOW //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
99 REFUSED //TERMINATE AS SOFT REFUSAL 1ST CALL | HARD 2nd//
//ask if Q3=02-16//
Q4M
In order to select just one person to interview, could I speak to the youngest male DRIVER, age 18 and older, who has had a beer, glass of wine or other alcoholic beverage in the past year?
01 YES – ON PHONE
02 YES – COMING TO PHONE
03 NO – UNAVAILABLE
04 NO MALES
99 REFUSED
//ask if Q4M=03, 04//
Q4F
Then could I speak to the youngest female DRIVER, age 18 and older, who has had a beer, glass of wine or other alcoholic beverage in the past year?
01 YES – ON PHONE
02 YES – COMING TO PHONE
03 NO – UNAVAILABLE //TERMINATE and SET CALLBACK//
99 REFUSED
//ask if Q4M=99 or Q4F=99//
Q4R
Would you please tell me why you do not want to do the interview?
01 GAVE RESPONSE
07 DON’T KNOW //TERMINATE AS HARD REFUSAL//
99 REFUSED //TERMINATE AS HARD REFUSAL//
//ask if Q4R=01//
Q4Rt
Enter Response [text length=270] //TERMINATE AS HARD REFUSAL//
//ASK if Q4M=02 or Q4F=02//
Q5
Hello, I’m calling on behalf of the U.S. Department of Transportation. This is not a sales call. We are conducting a national study of Americans’ driving habits and attitudes. The interview is voluntary and the information you provide us will be used for statistical purposes only. We will not collect any personal information that would allow anyone to identify you. The interview takes about 10 minutes to complete. This call may be monitored or recorded for quality assurance.
Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current valid OMB control number. The OMB control number for this study is 2127-0646.
01 CONTINUE
02 TERMINATE
//ASK All//
Q6
How often do you drive a motor vehicle? Would you say almost every day, a few days a week, a few days a month, or a few days a year?
01 Almost every day
02 Few days a week
03 Few days a month
04 Few days a year
05 NEVER //TERMINATE and SET HH INELIGIBLE-NO DRIVERS//
96 OTHER
97 DON’T KNOW
99 REFUSED
//ask if Q6=96//
Q6O
Please describe how often you drive a motor vehicle.
01 GAVE RESPONSE
97 DON’T KNOW
99 REFUSED
//ask if Q6O=01//
Q6Ot
Enter Response [text length=270].
//for all uncaught terms AND SCreens//
TERMS
Those are all of the questions that I have. If you have any questions about vehicle safety issues or just want some additional information, visit the National Highway Traffic Safety Administration’s website at www.nhtsa.dot.gov. Thank you for your time today.
One person households will be asked if they drive, then if they drink. They will then proceed to the main questionnaire (presuming they are still qualified).
The 02 TERMINATE options are for hang-ups/breakoffs/etc.
National Alcohol Crackdown 2011A - Screener
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Matthew Denker |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |